<HTML>
<HEAD>
<META NAME="GENERATOR" Content="Microsoft Visual Studio 6.0">
<TITLE></TITLE>
</HEAD>
<BODY background=/icons/13a.jpg>

<TABLE align=center width = "70%" cellpadding=0 cellspacing=0>
	
	<TR bgcolor=honeydew>
		<TD  align=middle width = "10%">
			<IMG src="/icons/hands.gif" width = 40 height = 40 
      style="HEIGHT: 40px; WIDTH: 41px">
			</IMG>
		</TD>
		<TD  align=middle>
			<FONT  face=TimesNewRoman size = 4>
				<B>Personal Information</B>
			</FONT>
		</TD>
		
	</TR>
</TABLE>
<TABLE align=center width = "70%">	
	<TR bgcolor=whitesmoke>
		<TD width = "30%">
			<FONT  face=arial >
				User Name 
			</FONT>
		</TD>
		<TD>
			<FONT  face=fantasy > <!--USERNAME><--!>
				&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
			</FONT>
		</TD>
	</TR>
	
	<TR bgcolor=whitesmoke>
		<TD width = "30%">
			<FONT  face=TimesNewRoman >
				A/C. No.
			</FONT>
		</TD>
		<TD>
			<FONT  face=Arial ><!--ACNO><--!>
				&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
			</FONT>
		</TD>
	</TR>
</TABLE>
<BR><BR>

<FORM method="POST" action="https://mir/cgi-bin/lazarus/personalInfo.cgi" >

<TABLE align=center  width = "40%" height = "50%" background=/icons/ToolBar-Background.jpg bgcolor=honeydew border=1 bordercolor=thistle bordercolordark=palevioletred bordercolorlight=honeydew>
	<TR>
		<TD align=right>
			<FONT face=Arial color = blue>
				<B>User Name &nbsp;&nbsp;</B>
			</FONT>
		</TD>
	
		<TD align=middle>
			<INPUT type="text" id="UseName" name="UseName" value="UNKNOWNUSERNAME" size=26  disabled>
		</TD>
	</TR>
	<TR>
		<TD align=right >
			<FONT face=Arial color = blue>
				<B>PassPhrase&nbsp;&nbsp;</B>
			</FONT>
		</TD>
	
		<TD align=middle>
			<INPUT type="password" id=PassPhrase name=PassPhrase  value="UNKNOWNUSERPASSPHRASE" size = 26>
		</TD>
	</TR>
	
	<TR>
		<TD align=right>
			<FONT face=Arial color = blue>
				<B>Address&nbsp;&nbsp;</B>
			</FONT>
		</TD>
	
		<TD align=middle>
         <TEXTAREA id=Address Name=Address rows=2 cols=20> "UNKNOWNADDRESS" </TEXTAREA>
		</TD>
	</TR>
	<TR>
		<TD align=right>
			<FONT face=Arial color = blue>
				<B>Mail Id&nbsp;&nbsp;</B>
			</FONT>
		</TD>
	
		<TD align=middle>
			<INPUT size=26 Type="text" id="MailID" name="MailID" value="UNKNOWNMAILID" >
		</TD>
	</TR>
	<TR>
		<TD align=right>
			<FONT face=Arial color = blue>
				<B>Balance&nbsp;&nbsp;</B>
			</FONT>
		</TD>
		<TD align=middle>
			<FONT face=Arial color = green>
				<B>UNKNOWNBALANCEAMOUNT</B>
			</FONT>
		</TD>
	</TR>
</TABLE>
<TABLE align=center background="" border=0 cellPadding=4 cellSpacing=3 id=TABLE1 
style="HEIGHT: 32px; WIDTH: 309px" width="40%">
  
	<TR>
		<TD align=middle>
			<INPUT id=reset1 name=reset1 type=reset value=Reset style="BACKGROUND-COLOR: skyblue; COLOR: darkblue">
		</TD>
		<TD align=middle>
    <INPUT Type="hidden" name="UserName" value="UNKNOWNUSERNAME">
			<INPUT id=submit1 name=submit1 type=submit value=Submit align=middle style="BACKGROUND-COLOR: skyblue; COLOR: darkblue">
		</TD>
	</TR>
</TABLE>

</FORM>
</BODY>
</HTML>
